Chemical Dependency Treatment Services
JAMHI offers a variety of substance use treatment programs that reflect the varying stages of change endemic to addiction. While substance use issues are not new to the population served by JAMHI, local and national spikes in drug usage suggest the need for a more focused and specific response. Incorporating substance use treatment into the array of JAMHI services also allows greater integration into the larger pursuit of overall health and wellness.
JAMHI’s Substance Use or Integrated Behavioral Health Assessment identifies substance use problems and determines the most appropriate ASAM level of care. If a client requires residential treatment, a referral will be made to the local 3.5 treatment facility at Bartlett Regional Hospital. If a lower level of care is indicated, however, JAMHI can provide the following:
Motivational Enhancement Therapy (MET)
Admission criteria match ASAM Level 1. In general, participants are not at risk for severe withdrawal symptoms, are able to temporarily abstain from alcohol and other drug use but require motivation and structure to help sustain this. Therapy occurs in a group format, 1-hour per week, with a curriculum that averages 8 weeks.
Twelve Step Facilitation (TSF)
Admission criteria match ASAM Level 1. In addition to a need for motivation and structure, this program serves as a bridge between treatment and natural supports in the community. Therapy occurs in a group format, 1-hour per week, with a curriculum that averages 6 weeks.
Cognitive Behavior Therapy (CBT)
Admission criteria match ASAM Level 2.1. Participants are at high risk of relapse and require intensive structure, education and support to foster sufficient sobriety for recovery. Therapy occurs in a group format, 2-hours daily, Monday through Friday, with a curriculum that averages 4 weeks. Individual and/or family sessions occur at least monthly.
While some people may start with Motivational Enhancement Therapy, step up to Cognitive Behavior Therapy, and then finish with Twelve Step Facilitation, each therapy is distinct and does not require a linear progression. In design, MET utilizes a harm reduction approach, whereas total abstinence is the goal for CBT and TSF. The curriculum for all three therapies draws on evidence-based practices from the following sources:
Hazelden/Dartmouth Medical School Integrated Co-Occurring Disorders Program
Dialectical Behavior Therapy
Moral Reconation Therapy
John Gottman Institute